Freebie Friday: Free Presentation, “Does Breastfeeding Protect Maternal Mental Health? The Role of Oxytocin & Stress” by Kathleen Kendall-Tackett from Gold Lactation


Kathleen Kendall-Tackett
PhD, IBCLC, FAPA

Gold Lactation is back with another freebie! This time it’s a free keynote presentation marking the beginning of its 2019 Gold Lactation Online Conference.

This year, the title of the Gold’s keynote presentation is:
“Does Breastfeeding Protect Maternal Mental Health? The Role of Oxytocin & Stress” by the esteemed Kathleen Kendall-Tackett, PhD, IBCLC, FAPA.

Best of all, this presentation is FREE! You can access the recording until April 19, 2019 (or until June 3, 2019 if you’re registered for Gold’s Conference). Sign up here for instant access to Kathleen’s talk.


FYI: CERPS are ONLY provided if you’re registered for Gold’s full 2019 Lactation Conference. If you’re not, you still have access to this FREE keynote presentation and will be awarded a Certificate of Attendance at no cost.


Do you have an idea for FREEBIE FRIDAY? Don’t be shy! Share it with Galactablog – you’ll be given full credit. If you’re a company, private practice, NGO, etc. and have a FREE opportunity or item to offer Galactablog readers, let us know. As long as you are WHO Code Compliant, you’ll be given full consideration.

You can contact us here or at galactablog@gmail.com


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Tuesday’s Tips: Helpful Counseling Tips for Medications, Herbs & Galactagogues from Dr. Frank Nice


As a lactation specialist or one aspiring-to-be, you may find yourself getting asked questions regarding the safety of prescription and over-the-counter (OTC) drugs by your breastfeeding clients. Or maybe it’s not medications, but the safety of herbs or the use of Galactagogues.


As lactation professionals (and those aspiring to be), it’s essential we stay within the scope of our training and certification. Diagnosing and prescribing prescription and OTC medications, herbs and galactagogues are outside the scope of practice for IBCLCs (and other lactation specialists) – unless of course, you’re also a licensed health care provider who has the ability to diagnose and prescribe medication. What we CAN do as lactation specialists is to counsel our breastfeeding clients and provide them with evidence-based resources so that they can make an informed decision that is best for themselves and their family.


In the Middle East where I used to live and practice, it was not common practice to question your physician’s recommendations, ask questions, or even to begin an open dialogue about potential alternatives, risks and benefits, etc. To question your doctor was a big no-no and it was something that just wasn’t done.

But because my client’s (and their infant’s) health and well-being come first, I encouraged every single one to bring every single evidence-based resources to their health care provider – to ask questions, demand answers and to begin an open dialogue. Yes, I admit I probably committed a few cultural faux pas, but it was worth it.

I found this not only enabled those I worked with to make informed decisions that worked best for them and their families, but it EMPOWERED them as well. The cherry on top was that it also educated health care professionals on lactation issues, which was often desperately lacking. Due to this approach, I was able to establish working relationships with local health care providers and to network. It was a win-win.


Dr. Frank Nice, RPh, DPA, CPHP

You may be wondering where to start when counseling your breastfeeding families on prescription and OTC drugs, herbs and galactagogues. How do you go about it? What approach would you take? What questions should you be asking and answering? Well, thanks for Dr. Frank Nice over at Nice Breastfeeding, he’s got all of this covered.

He has shared a wealth of information in order to help you help your breastfeeding families. Best of all, it’s all FREE and immediately accessble – just click here for practical, relevant counseling tips that you can begin applying with soon as the situation arises.

This link is divided into 3 sections: 1) About Mom, 2) About Baby, 3) Useful PDFs (on several topics including but not limited to Domperidone, Galactalogues and Herbs, and Recreational Drugs). These are free, downloadable and are perfect resources to share with your breastfeeding families.

And don’t forget to encourage your clients to share these handouts with their health care providers – not only will this create an open dialogue of how to best approach their situation and meet their needs, but it will also help to educate health care providers as well.

There is also a helpful ‘Patient Resources’ section with  Useful Links that you can share with your expecting and breastfeeding clients. Again, these are free!


Dr. Frank Nice, RPh, DPA, CPHP,  founder of Nice Breastfeeding, has over 40+ experience specializing in medications and  breastfeeding. He has also authored 2 books: Nonprescription Drugs for the Breastfeeding Mother, 2nd Edition (2011) and The Galactogogue Recipe Book (2017).


Free Drug Safety & Lactation Resource List

Free Drug Safety & Lactation Resource List


Author’s Note:  This post used to be a static page. I turned it into a blog post to make it more accessible and easier to search. Providing lactation support is hard enough, it’s my goal to make whatever I can easier and simplified for lactation specialists and those aspiring-to-be.


Do your clients ever call you wondering if a particular medication is compatible with breastfeeding? Many times nursing mothers are told to “pump and dump” or wean by their physicians when in fact, it’s unnecessary. Other times, it’s assumed if a medication is over-the-counter or an herb, it’s completely safe. This is not always the case.


Check below for the most widely used evidence-based resources in order to evaluate drug risk and safety during lactation. This list is arranged by alphabetical order and is by no means exhaustive, so if you’ve found another database or resource helpful, let me know so I can add it.


Questions for lactation professionals and nursing mothers to consider when evaluating risk levels of drugs, herbs, chemicals, etc. during lactation:

1) Will the drug, etc. affect my baby?
2) Will the drug, etc. affect lactation?
3) What are the risks of weaning?
4) What are the options?

For tips on how to counsel your breastfeeding clients on medications, galactagogues and herbs, see these tips by Dr. Frank J. Nice, RPh, DPA, CPHP.


Electronic Databases 


Breastfeeding Network –  Provides FREE Fact Sheets on a wide array of drugs, medical procedures and health conditions and compatibility with breastfeeding available here. These are great to share with your clients (and to encourage them to print them out and discuss safety concerns or potential alternatives with their health care provider). Also provides a detailed description of an ‘Introduction to the Safety of Drugs Passing Through Breastmilk’ here. For common FAQs concerning breastfeeding and generic medications, see here. Also contains general ‘Information on Breastfeeding’here, ‘Thinking about Breastfeeding’ here, ‘Breastfeeding and Perinatal Mental Health’ here and common ‘Questions about your Baby’here.

TIP: when using drug search databases: Since drug names can differ by country and even more so if it’s a generic vs. name brand drug, if the drug you are searching does not show up in the database search engine, then google that particular drug for the active ingredient and search by that instead.

e-lactancia – Compiled by pediatricians affiliated with APILAM. Uses risk levels 0 (no risk) -3 (very high risk). Covers “medical prescriptions, phytotherapy (plants), homeopathy and other alternative products, cosmetic and medical procedures, contaminants, maternal and infant diseases and more.” For common FAQs concerning lactation and medications, see here. Very easy to use and understand. A great resource to share with families so they can look up their own medications. Available in English and Spanish.

Infant Risk Center – Researched and compiled by Dr. Thomas Hale, PhD and author of the renowned and widely used medical lactation risk and reference guide, ‘Hale’s Medications and Mothers’ Milk.’ This reference guide is updated every 2 years, with the most recent edition published in 2017 and a new edition coming out in 2019). This resource uses lactation risk categories 1 (safest) – 5 (contraindicated). It covers prescription medications, chemicals, herbals, vitamins and radioisotopes/radiocontrast agents. This reference guide is also affiliated with the Infant Risk Center at Texas Tech University Health Sciences Center. A detailed description of ‘Drug Entry Into Human Milk’ is available here. If you have a question regarding a particular drug, you can call a free helpline at (806) 352 – 2519.

Medications & Mother’s Milk is an electronic database also established by Dr. Hale. Annual subscriptions are available at varied prices for individuals and groups/institutions. Mobile apps are also available for both androids and iOS – one is for healthcare professionals ($9.99) and the other is a simplified version for parents ($3.99). You can view options here.

LactMed – Sponsored by the National Institute for Health (NIH)’s US National Library of Medicine TOXNET Toxicology Data Network. It provides peer-reviewed, fully referenced, evidence-based resources. Users can look up lactation risk of both drugs and chemicals. This site is highly medicalized and may be too versed in “medical speak” for the average consumer to fully understand. LactMed also offers a mobile free app for both android and iOS.

MotherRisk – Sponsored by The Hospital for Sick Children in Toronto. It provides evidence-based information about the compatibility of prescription and over-the-counter medications, herbal products, chemicals, radiation, chronic diseases, infections, occupational, environmental, and other exposures during pregnancy and lactation. Also covers general FAQs about medications and lactation. Various brochures are available here. Offers a FREE MotherRisk Hotline: 1-877-439-2744, which is open Monday – Friday 9 a.m. to 12pm and 1 to 5 p.m. Eastern Standard Time.


Additional Drug Safety & Lactation Resources


Breastfeeding &  Human Lactation Study Center (which is a part of the Division of Neonatology at University of Rochester Medical Center’s Golisano Children’s Hospital) under the direction of Ruth A. Lawrence, M.D. Healthcare professionals can call (585) 275-0088 at no cost for information on drug risk and compatibility and to consult on difficult breastfeeding issues. Note: This hotline is for healthcare professionals ONLY, not for parents or your breastfeeding clients. For more information, see here. See here for a breastfeeding site geared specifically toward your breastfeeding clients and families.

Cindy Curtis, RNC, IBCLC, CCE, CD of Breastfeeding Online has compiled a comprehensive and beautifully organized list of lactation risk and compatibility with direct links to articles on breastfeeding and alcohol, herbals, epidurals, antidepressants, social drugs, cigarettes, prescription and non-prescription drugs and more. This is an accessible and quite handy resource to share with your breastfeeding clients or lactation specialists-in-training.

Frank J. Nice, RPH, DPA, CPHP of Nice Breastfeeding has written several books on medications and compatibility with breastfeeding: ‘Nonprescription Drugs for the Breastfeeding Mother’ (2017) here. ‘Recreational Drugs and Drugs Used to Treat Addicted Mothers: Impact on Pregnancy and Breastfeeding’ (2016) available here. ‘The Galactagogue Recipe Book’ (2017) which discusses dosage, uses, and cautions of galactogogues here. There are free downloadable pdfs on a wide array of lactation and drug risk categories including herbs and galactagogues, recreational drug use and Domperidone are available hereFree patient resources with helpful links are available here. You can find information for healthcare providers on how to counsel breastfeeding mothers who have drug-related questions here.

International Breastfeeding Centre established by Dr. Jack Newman, MD, IBCLC provides a general overview of maternal medications and breastfeeding in a Q&A blog post format, addressing general FAQs, whether or not to continue breastfeeding, how drugs get into breast milk and lactation compatibility with specific medications here. If you have a question about a particular drug’s compatibility with breastfeeding (or you’re dealing with a difficult breastfeeding case in general and would like some guidance and feedback), Dr. Newman answers emails from Lactation Specialists at no charge here. Information sheets on a wide array of lactation topics are available here, many of which are translated into different languages here.

Kelly Bonyata, BS, IBCLC of Kellymom has compiled lists of lactation risk databases in English and other languages, common FAQs on specific drugs, treatments and medical procedures, lactation risk resources and a detailed list of reference links here.This is an accessible, easy to understand resource to share with your breastfeeding clients.

La Leche League International (LLLI) has also published some articles and FAQ fact sheets on medications and breastfeeding. It also has a comprehensive resource of hyperlinked articles addressing breastfeeding with maternal illness, conditions, diseases and  if medications/treatments are compatible. LLLI’s site, including it’s articles (typically written  for mothers and parents by mothers (who are also breastfeeding counselors), are fantastic reat resources to share with nursing mothers and families as they are easily accessible, usually short and sweet, and written for an audience without a medical background. Just click on the title(s) below:

Wendy Jones, BSc, MSc, PhD, MRPharmS of Breastfeeding and Medication.This comprehensive site includes free downloadable Fact Sheets, evidence-based useful links on medication and breastfeeding, E-Learning Packages/Training Packs, aimed at GPs (latest cost was £40.00), which can be purchased here. She has also authored the books, “Breastfeeding and Medication.” (2018) and “Why Mothers’ Medication Matters” (2017).


Herbs & Breastfeeding


Kelly Bonyata, BS, IBCLC of kellymom.com has created a simple, accessible resource list of specific herbals and natural treatment and compatibility with lactation here. For information on marijuana and breastfeeding, see here. These are both fantastic, easy to read and understand resources to share with your breastfeeding clients.

Sheila Humphrey, BSc, RN, IBCLC has written the ‘The Nursing Mother’s Herbal’ (2003) available here, which discusses the effects of a wide array of herbs, dietary supplements and natural remedies on lactation and lactation-related maladies such as mastitis, plugged ducts, thrush and more. Her book is organized into Herb Safety Categories A (no contraindications) – E (Avoid. Toxic plant with no justifiable medical use). See here for a more thorough description of the Herb Safety Categories and see here for a review of her book from LLLI.


This list is by no means exhaustive. If you have a evidence-based resource on drug safety and lactation that you recommend and it’s not included in the list, then please, send me a message with a description and relevant info so that I can include it. Thanks a bunch, xx

Freebie Friday: FREE Podcast on “Marijuana & Breastfeeding”


Yup, it’s the end of the week already. That means it’s time for FREEBIE FRIDAY! This week’s freebie is a FREE Podcast on “Marijuana and Breastfeeding”
by Anne Eglash MD, IBCLC and Karen Bodnar MD, IBCLC.


From the Institute for the Advancement of Breastfeeding & Lactation Education (IABLE) website:

“Join us to learn about the 2018 American Academy of Pediatrics statement on marijuana during pregnancy and breastfeeding. Dr. Bodnar summarizes the major points in the AAP’s 2018 statement on marijuana during pregnancy and breastfeeding. Learn the latest recommendations on how to counsel families regarding perinatal marijuana use!”

It was originally recorded in September 2018, but don’t worry, it’s still available as a podcast for free. Just click here to listen to it.

Quick tip: When you click on the link to view the Podcast, check out the “Programs” header on the left side of the site. You’ll find lots more FREE lactation resources including Podcasts, Videos, Breastfeeding Handouts, Breastfeeding Education for Healthcare Providers, Clinical
Questions for the Week, Conferences and more.

Happy listening (and learning). Oh, Happy Friday too!


Do you have an idea for FREEBIE FRIDAY? Don’t be shy! Share it with Galactablog – you will be given full credit. If you’re a company, private practice, NGO, etc. and have a FREE opportunity or item to offer to Galactablog readers, let us know. As long as you are WHO Code Compliant, you’ll be given full consideration. You can contact us here or email: galactablog@gmail.com. 

Freebie Friday: Free 0.25 L- CERP from Medscape – Earn in 30 minutes or less! + More Freebies!


Are you a new IBCLC who is trying to earn CERPS? Or maybe you’re a seasoned IBCLC who needs to recertify soon (or eventually). Or perhaps you’re an aspiring IBCLC who is piecemealing free/low-cost CERPs together to obtain the 90 hours of lactation education required to sit for the IBCLC exam. Maybe, you just love reading and learning new things! Whatever your case, this week’s freebie is definitely relevant to you (make sure to continue scrolling down, because there’s more freebies at the bottom of this post).

You may be asking yourself, “Well, what do I have to do to obtain this FREE 0.25 CERP)?” It’s quite easy actually and takes 30 minutes or less. All you do is read this article, How Does Marijuana Use Affect Lactating Mothers? by Diana Phillips & Charles P. Vega, MD and answer some questions. You must answer 75% of the questions correctly to obtain the CERP. That’s it! You get a free 0.25 L-CERP + some new knowledge.


Make sure to check out Medscape’s Multispecialty Activities: CME & Education site – There is a wide array of multispecialty FREE accredited activities you can do to earn FREE CERPs, continuing education credits and even to fulfill licensure requirements. This is not only relevant to IBCLCs but for other types of health professionals as well. Registration is FREE and you can sign up here for daily or weekly email updates if you choose.


On a personal note, I can’t take credit for this freebie myself – the credit goes to Debra Swank, RN BSN IBCLC who shared this fantastic find in a private lactation group. Thanks Debra, we appreciate you keeping us in the loop!


Do you have an idea for FREEBIE FRIDAY? Don’t be shy! Share it with Galactablog – you will be given full credit. If you’re a company, private practice, NGO, etc. and have a FREE opportunity or item to offer to Galactablog readers, let us know. As long as you are WHO Code Compliant, you’ll be given full consideration. You can contact us here or email: galactablog@gmail.com. 

Freebie Friday: “Lactation Business Coaching with Annie & Leah: Launching your Lactation Business” (Free Podcast)


Annie Frisbie, IBCLC, creator of  Paperless Private Practice and author of IBCLC Private Practice Essential Toolkit and Leah Jolly, BA, IBCLC, RLC  with Bay Area Breastfeeding are offering their Lactation Business Coaching podcast for free. Yup you read that right, it’s FREE! 


Click here to listen to Episode 1. If you prefer to go through iTunes directly, you can find the podcast here. Annie and Leah are a have a great rapport. They are a joy to listen to. I think they need their own reality show! I can’t wait for Episode 2.


Annie and Leah welcome your questions, comments and even ideas for future podcast topics here (or you can leave a comment on their show page). Reviews on iTunes are also welcome. You can find them on Facebook too!



Do you have an idea for FREEBIE FRIDAY? Don’t be shy! Share it with Galactablog – you will be given full credit. If you’re a company, private practice, NGO, etc. and have a FREE opportunity or item to offer to Galactablog readers, let us know. As long as you are WHO Code Compliant, you’ll be given full consideration. You can contact us here or email: galactablog@gmail.com. 

Freebie Friday: 6 FREE presentations from iLactation


iLactation is generously offering FREE access to 6 different presentations which cover a wide array of lactation topics. You can view the list of FREE presentations offered here. There’s a terrific line up of speakers and fascinating topics, so don’t miss out on this FREE opportunity.


***Disclaimer: CERPs are NOT offered for the free presentations, but you WILL gain free knowledge and resources, which is priceless. Certificates of attendance ARE offered for each presentation and these are FREE. You can use the certificate of attendance to claim for the minutes/hours you’ve spent on the individual CERPs. See here for how to do this and scroll down to ‘May I use continuing education that has not been awarded CERPs?’ for specific details.


If you are in need of CERPs or just interested in hearing more lactation-related presentations, check out iLactation’s 13th annual online breastfeeding conference. This year, iLactation’s online breastfeeding conference: “Inform • Improve • Impact,” is offering 18+ CERPs. You can view the ‘Rock Stars of Lactation’™ line-up here.  But hurry up, it’s only online until November 30,2018.


Inform • Improve • Impact
Online breastfeeding conference
Online until Nov 30, 2018

 


Do you have an idea for FREEBIE FRIDAY? Don’t be shy! Share it with Galactablog – you will be given full credit. If you’re a company, private practice, NGO, etc. and have a FREE opportunity or item to offer to Galactablog readers, let us know. As long as you are WHO Code Compliant, you’ll be given full consideration. You can contact us here or email: galactablog@gmail.com. 

FREEBIE FRIDAY: “Nutritional Support of the VLBW Infant” Free Toolkit

Do you help support Very Low Birthweight (VLBW) Infants in your lactation work? Or maybe you are just starting out and want to learn more about working with and how to better support premature and VLBW infants. If so, then you’ll enjoy this FREE toolkit. I can’t take credit for this find myself – it was shared in a private lactation group by Liz Brooks, JD, IBCLC, FILCA.

The California Perinatal Quality Care Collaborative explains what’s included (and what’s new) in the 2018 version:

“The 2018 update of the Nutritional Support of the VLBW Infant Toolkit was developed to provide rapid assessment of current nutritional practices, outline evidence-based best practices, and enable rapid multidisciplinary improvement cycles to improve nutritional outcomes for premature newborns. We have added important new references, streamlined recommendations, and targeted the best resources.”

Aren’t you excited to download it and check it out? If so, click here for your free toolkit. And don’t forget to check out all of the FREE Additional pdfs located on the same site on your lower righthand side.

Do you have an idea for FREEBIE FRIDAY? Don’t be shy! Please do share – I promise to give you full credit. If you’re a company, private practice, NGO, etc. and have a FREE opportunity or item to offer to Galactablog readers, let me know. As long as you are WHO Code Compliant, you’ll be given full consideration. You can contact me here or email me at: galactablog@gmail.com. I look forward to hearing from you.

Freebie Friday: FREE Keynote Presentation, “The Return of Breastsleeping: Humankind’s Oldest and Most Successful Sleep and Feeding Arrangement” by Dr. James McKenna

James J. McKenna, PhD

In celebration of Gold’s annual online Perinatal Conference, Gold Lactation is offering FREE access to its live Keynote Presentation titled, “The Return of Breastsleeping: Humankind’s Oldest and Most Successful Sleep and Feeding Arrangement” by renowned co-sleeping expert Dr. James McKanna taking place on October 29, 2018. You read that right, it’s FREE!

But you’d better hurry up and register early because access is limited to the first 500 attendees. You can reserve your free seat here.

For more information on Safe Co-Sleeping Guidelines, articles and presentations, important resources for parents, and an in-depth look into Dr. McKenna’s fascinating work and research at the Mother-Baby Behavioral Sleep Laboratory at the University of Notre Dame click here.

Fine Print: This presentation will be recorded and will be available publicly until November 15, 2018. A certificate of attendance will be available for download. For those registered for Gold’s 2018 Perinatal Conference, participants will get CERPs for the presentations and unlimited access to all conference presentations through Dec. 3. (Dec. 27 for GOLD Annual Members). Registration for Gold Perinatal Online conference is open until November 15, 2018.

Freebie Friday: FREE Live Training: “How to Practice your Passion & Build a Thriving Business” by Jacqueline Kincer, IBCLC

Jacqueline Kincer, IBCLC, COMS & Success Coach

It’s Freebie Friday time – only a bit early because I didn’t want you to miss out on this fantastic opportunity! If you’re in private practice or thinking about going into private practice, then this is your lucky day because Jacqueline Kincer, IBCLC, COMS & Success Coach is offering a FREE training on how you can not only grow your private lactation practice but make it thrive (even if you have no business background or experience whatsoever). Yup you read that right, it’s FREE.

So don’t miss out because it’s TODAY: Thursday, September 13, 2018 at 5pm Pacific, 8pm Eastern (USA time-zones, see here to convert to your local time if you reside outside of the USA). Click here to sign-up.

If you’d like to find out more about Jacqueline Kincer, IBCLC, COMS & Success Coach, you can find her at:

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